Antibiotic use and the prevention and management of infectious complications in stone disease.


Journal Article (Review)

The importance of assessing perioperative urine/stone cultures and providing appropriate antibiotic prophylaxis prior to shock wave lithotripsy (SWL) or endoscopic intervention cannot be minimized. Urinary tract infection (UTI) is the most common complication relating to stone intervention. Adequate assessment of culture data and adherence to appropriate guidelines may prevent the development of UTI and the potential for post-intervention urosepsis. This review outlines the current evidence for prophylaxis in the prevention of UTI and urosepsis, as well as the interpretation of stone culture data to provide an evidence-based approach for the judicious use of antibiotics in urologic stone practice.

Full Text

Duke Authors

Cited Authors

  • Wollin, DA; Joyce, AD; Gupta, M; Wong, MYC; Laguna, P; Gravas, S; Gutierrez, J; Cormio, L; Wang, K; Preminger, GM

Published Date

  • September 2017

Published In

Volume / Issue

  • 35 / 9

Start / End Page

  • 1369 - 1379

PubMed ID

  • 28160088

Pubmed Central ID

  • 28160088

Electronic International Standard Serial Number (EISSN)

  • 1433-8726

Digital Object Identifier (DOI)

  • 10.1007/s00345-017-2005-9


  • eng

Conference Location

  • Germany